Individual
LAURA JAENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4111 E VALLEY AUTO DR STE 209, MESA, AZ 85206-4609
(602) 730-5089
Mailing address
2922 N 29TH ST, PHOENIX, AZ 85016-8005
(480) 266-0121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-15821
AZ
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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